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CO0008608
EnvironmentalHealth
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BENJAMIN HOLT
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1600 - Food Program
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CO0008608
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Last modified
11/25/2020 3:39:14 PM
Creation date
1/30/2019 2:35:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0008608
PE
1625
FACILITY_ID
FA0001793
FACILITY_NAME
ROUND TABLE PIZZA
STREET_NUMBER
3201
Direction
W
STREET_NAME
BENJAMIN HOLT
City
STOCKTON
Zip
95219
ENTERED_DATE
7/15/1997 12:00:00 AM
SITE_LOCATION
3201 W BENJAMIN HOLT #91
RECEIVED_DATE
7/15/1997 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3201\CO0008608.PDF
Tags
EHD - Public
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f. ate run: 07/15/97 �•AN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 15104 <br /> Rl)n by CAROLDPac1e # <br /> Cngv : 01 of 61COMPLAINT TNVESTIGATTON REPORT <br /> COMPLAINT # = COOO86O8 Program/Element : 1600 <br /> Taken by . 3304 KAREN ARMSTRONG Date: 07/15/97 Assigned to 9157 MARK BARCELLOS Date: 07/15/97 <br /> H?rH cony Printed: <br /> Facility Name. : ROUND TABLE PIZZA Far TD: 001793 <br /> BILL to inventoried FACILITY: <br /> Location: 3 '01 W REN TAMTN HOLT #91 (Must have FACILITY IDO <br /> Complainant : ROSELLA RUL-LER Home Phone' 209-477-4820 <br /> Address: Work Phone : <br /> FACILITY C.00ATION/Property Info — <br /> DBA or Name - ROUND TAE3LE PIZZA -Loc Code 01 <br /> Ad,^rel-J PFt\!7AMT1\! Hol T 91 ROS Dist <br /> C i tv: ':,Tn(-1<Tnh.1 qc7,n1 Q q,�J-�3io APN # <br /> Phone : <br /> BILLING RESPONSIBLE PARTY or OWNER info — <br /> Name: H&H PIZZA , INCHome Phone : 209-333-3755 <br /> ............. <br /> Address: 628 CENTRAL.. AVE Work Phone : <br /> City : TRACY CA 95376 <br /> Nature of Complaint: <br /> NOT WASHING HANDS AFTER HANDLING MONEY . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-4gency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: 012, <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Send Referral Letter to: <br /> Address: <br /> Referral Letter Sent by : Date' <br /> Circle aoorooriate Unit N if comolaint io another PROGRAM jurisdiction. Have Complaint Record and P/E updated <br /> Forwarded to UNIT: V) II III IV for Investigation <br />
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